The China–Pakistan relation has historical underpinning. By establishing diplomatic relations in 1951, each passing decade has witnessed that China–Pakistan relations coalesce into a dependable friendship. This relationship has gone beyond the usual diplomatic and political comfortability transcending to a broad-based framework incorporating economics, trade and defence dimensions. In the given context, this paper is an empirical study aiming to examine the historical process in the gradual culmination of China–Pakistan relations into a broad-based partnership. It further evaluates the present nature of relationship between the two countries and the prospects it holds in the wake of changing world scenario. By primarily focusing on the secondary sources of data and interviewing key people from the decision-making circles, this paper argues that the China–Pakistan relation is deep-rooted in the history and the on-going collaboration between China and Pakistan in defence and economy is the natural evolution of their mutual ties.

Graphical abstract

Since the beginning of diplomatic ties in 1951, China-Pakistan has enjoyed long-lasting, stable and friendly relations and considered to be an irreplaceable “all-weather friend” as well. In any hard and troubled time, both countries support each other. Pakistan could have got more benefit from China in the last several decades; however, the CPEC under Chinas “BRI” provides a very shining opportunity for the economic development of Pakistan. Balochistan is geographically the largest and population-wise the smallest province. With its precious mineral resources, deep sea and a vast coast with fantastic climate Balochistan has been ignored; consequently, a significant portion of the youth opted for alternative way, engaging themselves in such activities which brought uncertainty and trouble in the province. Of course, the primary cause of such a condition is economic deprivation, joblessness and most importantly political power which has not been given to them.

Introduction: Acute appendicitis is the most common surgical pain requires surgical intervention in emergency. Diagnosis of acute appendicitis is mainly a clinical judgment but many clinical scoring systems and advance radiology is routinely used in developed countries. The aim is to reduce unnecessary removal of normal appendix, which is still very high up to 37% in some parts of the world. Aim: The aim of this study was to assess the Negative appendectomy rate (NAR) in a tertiary care hospital of Quetta. Method: This is a prospective observational study carried out between November 2020 and June 2021.121 cases of acute appendicitis that underwent surgical management. Results: The study data revealed a negative appendectomy rate of 59.5% Tenderness rebound tenderness and total leucocyte count (TLC) showed statistical significance with histopathology findings. Female had high negative rate of appendectomy. Conclusion: The study showed that on clinical judgment in diagnosis of acute appendicitis will result in high negative appendectomy rate, it is need of time to add radiology at least ultrasonography should be mandatory in every suspected case of appendicitis in our part of world and diagnostic laparoscopy in equivocal cases especially in female patients.